Individual
MS. ERIN LYNN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3257 84TH ST S, LAKEWOOD, WA 98499-8995
(253) 720-6073
Mailing address
3257 84TH ST S, LAKEWOOD, WA 98499-8995
(253) 720-6073
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60200605
WA
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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